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Home My WebLink About2007-P11071 (Re-roof) PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P11071 Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations (952) 249-4600 Date Issued: 6/4/2007 SITE ADDRESS: 1425 Bay Ridge Rd Unit# Wayzata,MN 55391 PID: 10-117-23-34-0017 DESCRIPTION: Proposed Use: Residential Census Code ��I�j Permit Class: Building Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Roof DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 18125 valuation: $ 9,360.00 State Surcharge Fee: $ 4.70 TOTAL FEE: $ 185.95 APPLICANT: Grussir�Roofing,Inc. OWNER: Robert&Julie Wiens 4305 Shady Oak Rd 1425 Bay Ridge Rd Hopkins,MN 55343 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � � APPLICANT PERMITEE SIGNATURE D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (plense pYint all iriforrnntion) ------------------------------------------------------------------------------------------------------------------------ THE APPLICANT IS: (circle one) OWNER O CONTRACTO�R JOB SITE ADDRESS: ) o� S IP: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specra!event perrnit is r•equired with Police Department and City Coarncil approva! 60 days prior to the event. Shuttle bus service will be requir�ed zrnless appdicant der�7onstrates si fficient on-site parking is available. �ti'on-perinitted events lvill not be allowed. NAME OF OWNER: ��I' 'ws�'�1/�— PHONE: (home) �5� 5 `�� ?� � (work) MAILING ADDRESS: f `� � � "' ITY: ��,�(,a�� ZIP: CONTRACTOR: � � PHONE: Q 5�, g3 5 455� CONTACT PERSON: ' �BILE/P GE : !�L� �.$� �f(e 3 ( MAILING ADDRESS: 0 ITY: ZIP: STATE LICENSE: # q � (�, EXPIRATION D TE: . ARCHITECT/ENGINEER: PHONE: NIAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION: # TYPE OF WORK: New Home Addition Accessory Structure Move Home RemodeVAltecation (ie: Siding, Windows) Any earth movement may require CWD revi w and permits ! PROPOSED WORK(desct�ibe i�t detain: �� STORIES: k SQ.FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED vU ESTIMATED CONSTRUCTION VALUATION(excluding landj: � �3 ��, I hereby apply for a building permit and I acknowledge that the information above is comp(ete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I understand this is not a permit and�vork is not to start�vithout a permit;and that the work�vill be in accordance with the approved plan. APPLICANT'S SIGNATURE: DATE: �n — �� 7 >> Sec13A4 RIGHTS OF SUBJECTS OF DATA Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored shall be as set forth in this section. Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concernin�himselfshall be infonned ofl. (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide system;(b) �i�hether he may refuse or is legally required to supply the requested data',(c)any known consequence arising from his supplying or relusing to supply private or contidential data;and(d)the identity ofother persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement ofFicer. The commissioner of revenue mayplace the notice reRuired under this subdivision in the individual income tax or propertv tax refund instructions instead of on those forms. Subd.3. Access to data by individual. Upon request to 1 responsible authority,an individual shall be intonned whedier he is the subject of stored data on individuals,and��hether it is classitied as public,private or contidential. Upon his further request,an individual who is d�e subject of stored private or public data on individuals sliall be sho�vn the data��ithout any charge to him and,if he desires,shall be informed of the content and meanine of that data. After an individual has been shown the private data and intbrmed of its meaning,the data need not be disclosed to him for si� months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or creatcd. The responsible authority shall provide copies of d�e private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person ro pay the actual costs of�roaking,certifying,and compiling the copies. The responsible authoritv shalf comply immediately,if possible,with any request made pursuant to dlis subdivision,or�vithin tive days of the date ofthe request,excluding Saturdlys,Sundays and legal holidays,if immediate compliance is not possible. lf he cannot comply with the request within that time,he shall so inform the individual,and may have an additional tive days within which to comply with the request,exduding Saturdays, Sundays and legal holidays. Subd.4. Procedure�vhen data is not accurate or complete. nn individual may contest the accuracy or completeness of public or private data concerning himself. To excrcise this right,an individual shall no[ity-in writing the responsible authority describing the nature ofthe disagreement. The responsiUle authority shall wid�in 30 days either. (a)correct the data found to be inaccurate or incomplete and attempf to notity past recipients of inaccurace or incomplete data,induding recipients named by the individual;or(b)nociPy the individual that he believes the data Yo be correct. Data in dispute shall be disclosed only if the individuai's sta[ement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRIVACY ADVISORY In accordance with M.S. 13.04,Subd.2,"Ri�hts of subjects of data",�ve would like to inform you that your request for a pennit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: I. The information you furnish will be used to deternline your qualification for the permit or license requested. 2. You may refuse to supply data,but refusal may require that the City deny the permit or license. 3. The infonnation may be shared with other local, state or federai atrencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some infonnation may become public. �. You have certain rights under M.S. 13.04(available upon rec�uest)to review private data on yourself. 6. Your full name is required to process this application or permit. First �lic;dlc Last Address � Cit�� Statc Zip Phonc I understand my rights as stated above. Sip;naturc Reset Form 32 � � V� /DAT TIME ✓ CITY OF ORONO CALLED IN �J � INSPECTION NO ICE SCHEDULED _�2 _s-n� l9� PERMIT NO. ��7� COMPLETED ADDRESS � � OWNER CO TR. Ur��s��74 ��7-' TELEPHONE NO. ��a �� 3 � � DESCRIPTION �'e� D�`' �� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR W4LL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the ne t inspection 24 hours in advance. (952� 249-4600 OwnerlContrac s te: Inspector. White Copyllnspector's ile Canary CopylSite Notice